ROBERT G BOOKHOLT, DDS, PA (NPI# 1811065279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811065279 |
| Entity Type | Organization |
| Organization Name | ROBERT G BOOKHOLT, DDS, PA |
| Practice Address |
11349 Bain School Rd Charlotte NC 28227-7536 |
| Practice Telephone | 7045453109 |
| Practice Fax Number | 7045739542 |
| Mailing Telephone | 7045453109 |
| Mailing Fax Number | 7045739542 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT GLEN BOOKHOLT (PREIDENT) |
| Authorized Official Telephone | 7045453109 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
3531 | NC | Ambulatory Health Care Facilities |
| Street Address |
11349 BAIN SCHOOL RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28227-7536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609054287 | Robert Glen Bookholt | Dentist | 11349 Bain School Rd, Charlotte, NC 28227-7536 | 2008-02-05 |
| 1871653139 | Thomas Neil Triplett | Dentist | 11349 Bain School Rd, Charlotte, NC 28227-7536 | 2006-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396693 | Phyllis Newsome Wilson | Technician | 8423 Empress Ct, Charlotte, NC 28227 | 2019-09-27 |
| 1134611239 | Alyssa Latonia Rodgers | Counselor | 7512 Spring Spruce Ln, Charlotte, NC 28227 | 2018-06-04 |
| 1114463429 | Andrea Henneberry | Physical Therapy Assistant | 9706 Stoney Glen Dr Apt L, Mint Hill, NC 28227 | 2017-01-10 |
| 1649726589 | Keba Bosley | Social Worker | 5912 Brightstar Valley Road, Mint Hill, NC 28227 | 2016-08-31 |
| 1710330071 | Carolina Family Services | Community/Behavioral Health | 5737 Old Magnolia Lane, Mint Hill, NC 28227 | 2016-07-21 |
| 1518311901 | Aynsley Girardeau | Optometrist | 7014 Tutor Street, Suite C, Mint Hill, NC 28227 | 2016-04-21 |
| 1487037875 | Shalini Kamodia | Dentist | 11300 Cresthill Dr Ste 105, Mint Hill, NC 28227 | 2015-07-02 |
| 1629455720 | Yes We Care Human Services of Mecklenburg County | Adult Companion | 8201 Willowlake Ct, Charlotte, NC 28227 | 2015-04-28 |
| 1841677077 | Hewitt Home Care | Psychiatric Residential Treatment Facility | 2331 Crownpoint Executive Drive, Charlotte, NC 28227 | 2015-04-27 |
| 1467847426 | Marguerita Sitrin Blaker | Psychologist | 2400 Crownpoint Executive Drive, Suite 100, Office #5, Charlotte, NC 28227 | 2015-04-06 |
| Find all providers in zip 28227 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871109041 | Steven D Robertson Dmd, Pa | Clinic/Center | 1613 Montford Dr Ste A, Charlotte, NC 28209-3793 | 2020-09-22 |
| 1558971408 | Mid Michigan Gentle Dental | Clinic/Center | 114 S Cochran Ave, Charlotte, MI 48813-1510 | 2020-08-05 |
| 1265050504 | Hammock, Dmd & Lotakis, Dds X, Pllc | Clinic/Center | 9201 S Tryon St Ste A, Charlotte, NC 28273-4239 | 2020-07-13 |
| 1598398653 | Zammitti Gidaly Abrams Cohen & Associates Iv PC | Clinic/Center | 8631 Arbor Creek Dr Ste D1, Charlotte, NC 28269-0548 | 2020-02-18 |
| 1700447307 | Nagarani Nagarajan Dds.,pllc | Clinic/Center | 2510 Vista Drive, Suite 100, Charlotte, NC 28212 | 2019-06-25 |
| 1578021952 | Raghav Sundaresh, Dds, Pllc | Clinic/Center | 620 N Church St Ste 113, Charlotte, NC 28202-3277 | 2019-03-05 |
| 1790279628 | Bou Mjahed,dds,pllc | Clinic/Center | 328 W Carson Blvd Ste 100, Charlotte, NC 28203-4024 | 2018-06-14 |
| 1346759644 | Gregory S Reece, Dmd, Pllc | Clinic/Center | 3014 Baucom Rd Ste 100, Charlotte, NC 28269-2393 | 2017-09-29 |
| 1962936104 | Melissa Marks Gustafson, Dds, Pa | Clinic/Center | 3010 Baucom Rd Ste 200, Charlotte, NC 28269-6765 | 2017-04-14 |
| 1013457217 | Cook and Associates of North Carolina Pllc | Clinic/Center | 1836 Maryland Ave, Charlotte, NC 28209-1536 | 2017-03-07 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.